addendum

STATE OF NEW JERSEY - DEPARTMENT OF EDUCATION
Office of Student Transportation
2011-2012
STUDENT TRANSPORTATION CONTRACT ADDENDUM
Board of Education of:
In the County of:
Contractor:
Terminal Location:
Contractor Code:
Multi-contract Number:
Route #:
Bid #:
Renewal #:
2011-2012 Contract Cost
Per Diem:
OR
Per Annum:
Contract Term - From:
To:
The amount of compensation shall be increased/decreased in accordance with the bid
at a rate of:
Per Pupil:
Per Vehicle:
Per Mile:
Per Aide:
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STATE OF NEW JERSEY - DEPARTMENT OF EDUCATION
Office of Student Transportation
2011-2012
STUDENT TRANSPORTATION CONTRACT ADDENDUM
The local board of education/CTSA may, with the approval of the County Superintendent, change a designated route/contract in accordance with the original bid. This addendum constitutes an
increase/decrease of the contract specified herein.
Board of Multi-Contract
Route #: Bid #: Contract Period:
Education: Number:
Contractor Terminal
Contractor Code: Renewal #:
Name: Location:
(E)
The amount of compensation shall be increased/decreased in accordance
with the bid at a rate of:
(C) (F)
Adjusted
$0.00 $0.00 $0.00 $0.00 Per Diem (G)
(B) Contract Cost Per Diem Per Diem Per Diem Per Diem Negotiated Per Diem (H)
Per Pupil Per Vehicle Per Mile Per Aide
(A) Effective Date (Prior Aide Increase/ Increase/ Final Adjusted Contract
Addendum # of Change Addenda) # New Pupils # New Vehicles # New Miles # New Aides Decrease Decrease Amount
Comments:
This contract is cancelled effective . The final annual adjusted cost is .
IN WITNESS WHEREOF, the parties hereto have duly signed this contract addendum.
Signature - Business Administrator/Board Secretary Date Signature - Local Board President Date
Notary to the Contractor - Subscribed and sworn before me
Signature - Contractor Date Date
My commission expires:
Notary Public Signature Notary Public Name Expiration Date
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2011-2012
REQUEST FOR APPROVAL OF TRANSPORTATION CONTRACT ADDENDUM
TO: Executive County Superintendent of Schools
FROM: School Business Administrator
Board of Education
DATE: August 27, 2012
SUBJECT: 2011-2012 Student Transportation Contract - Addendum
The following student transportation contract addendum and related documents are being submitted for
your review and approval.
Signature - School Business Administrator/Board Secretary
Contractor Name:
Final
Multi- Adjusted FOR COUNTY OFFICE USE ONLY:
Contract Route Addendum Contract
Number Number Number Amount Approved Disapproved Comments
The above listed transportation addendum and related documents have been reviewed as to
form and is approved/disapproved as noted.
This contract is cancelled effective
The final annual adjusted cost is
FOR COUNTY OFFICE USE ONLY
Additional Comments (if necessary):
Executive County Superintendent of Schools Date
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PT-2A